Developing Partnerships to Advance Precision Medicine with AI/AN Tribal Nations

与 AI/AN 部落国家发展伙伴关系以推进精准医疗

• 批准号: 10831184
• 负责人: Teshia G. Arambula Solomon
• 金额: $ 30万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10831184
• 关键词: Acceleration; Adopted; Agreement; Alaska Native; All of Us Research Program; American Indians; Biomedical Research; Cardiovascular Diseases; Clinical Trials; Collaborations; Communities; Consultations; Custom; Diabetes Mellitus; Economic Development; Failure; Federal Government; Feedback; Geography; Goals; Government; Health; Indigenous; Laws; Left; Longitudinal Studies; Malignant Neoplasms; Medical; Mental Health; Mission; Participant; Pilot Projects; Population; Population Sizes; Process; Readiness; Research; Research Infrastructure; Resources; Rural; Science; Strategic Planning; Structure; Suicide; Surveys; Tribal Council; Tribes; Trust; United States; United States National Institutes of Health; Urban Community; Work; anticancer research; cohort; disparities in morbidity; experience; genetic testing; health equity; information gathering; interest; member; mortality; physical conditioning; pilot test; precision medicine; prevent; programs; racial population; research study; scale up; success; tool; tribal Nation; tribal community; tribal health; tribal leader; urban Native American

ABSTRACT American Indians and Alaska Natives (AIAN) are less likely to participate in longitudinal studies, in clinical trials, and in genetic testing and are a hard-to-reach population due to small overall population size and a general mistrust of science, research, and the Federal government. To meet their inclusion goals, the All of Us program (AOU) must continue to build trust with Tribal Nations. Our proposed project is developed specifically to build trust through strategies that honor key values identified by community members and Tribal leaders. One of the commitments NIH/AOU made following the Tribal consultation process is to “first engage with tribal communities through smaller pilot projects with Tribal Nations and urban and rural tribal communities and will use the information gathered to evaluate the successes and failures before scaling up any collaborations with tribes.” To help AOU meet this promise the community readiness assessment (CRA) will identify nations that are interested in pilot projects and which need greater support in capacity building to do so. A community readiness survey will be developed and pilot tested. We will work with Tribal/Community Advisors to develop and implement the survey(s), and tools and guidance in supporting capacity building efforts for Tribes/communities at lower levels of readiness. We aim to: • Establish an Advisory Council of Tribal and urban AIAN community leaders to develop and implement a Community Readiness Assessment (CRA) survey; • Provide feedback to support Tribal partners and the AOU research program to prioritize appropriate strategies for building partnerships; • Document best practices in building such partnerships; • In collaboration with the AOU Tribal Engagement Office, develop a strategic plan for long-term Tribal engagement for the program; and • Present the products/materials to the NIH Tribal Advisory Council for endorsement.

摘要 美国印第安人和阿拉斯加原住民(AIAN)不太可能参与纵向 研究、临床试验和基因测试，由于数量少，很难接触到 总体人口规模和对科学、研究和联邦政府的普遍不信任。 为了实现他们的纳入目标，我们所有人计划(AOU)必须继续与 部落国家。我们提议的项目是专门为通过战略建立信任而开发的 这是对社区成员和部落首领确定的关键价值观的尊重。 NIH/AOU在部落协商进程之后作出的承诺之一是“首先 通过与部落国家和城市社区开展较小规模的试点项目，与部落社区接触 和农村部落社区，并将利用收集到的信息来评估成功和 在扩大与部落的任何合作之前都会失败。 为了帮助AOU实现这一承诺，社区就绪评估(CRA)将确定 对试点项目感兴趣并需要在能力建设方面提供更大支持的国家 就这么做吧。将制定一项社区准备情况调查并进行试点测试。我们将与 制定和实施调查的部落/社区顾问(S)，以及工具和指导 支持处于较低戒备水平的部落/社区的能力建设努力。我们的目标是 致： ·建立部落和城市AIAN社区领袖咨询委员会，以发展 并实施社区准备情况评估(CRA)调查； ·提供反馈，支持部落合作伙伴和AOU研究方案确定优先顺序 建立伙伴关系的适当战略； ·记录建立这种伙伴关系的最佳做法； ·与阿拉伯联盟部落接触办公室合作，制定战略计划 该方案的长期部落参与；以及 ·将产品/材料提交给NIH部落咨询委员会批准。